<include file="__THEME__/header" />
<link href="../Public/style.css" rel="stylesheet" type="text/css" />
<link href="__PUBLIC__/themes/default/jquery-ui.css" rel="stylesheet" type="text/css" />
<!--所在城市-->
<script type="text/javascript" src="__PUBLIC__/js/form_check/jquery.validator.reg.js"></script>
<script type="text/javascript" src="__PUBLIC__/js/form_check/jquery.corners.min.js"></script>
<script type="text/javascript" src="__PUBLIC__/js/jquery-ui.js"></script>
<script type="text/javascript" src="__PUBLIC__/js/jquery-ui-ext.js"></script>
<!-- 内容 begin  -->
<div class="content">
	<include file="__THEME__/banner" />
	<include file="__THEME__/apps_wide" />
	<div class="main">
		<script type="text/javascript" src="../Public/Js/Common.js" ></script>
		<link href="__PUBLIC__/js/pagination/pagination.css" rel="stylesheet" type="text/css" />
		
		<div class="intro">
			<h2>医院页面。</h2>
			<div class="tips">医院页面，同时还可以获知其他病友使用该药物的统计数据！</div>
		</div>
		
		<div class="tools">
			<h2>根据您加入的病友社区提供的药物名称</h2>
			<form method="post">
				<div class="field">
				<label>疾病类别：</label>
					<select name="categoryid" class="select" id="category">
						<volist name="categoryList" id="category">
							<option value="{$category['id']}" <eq name="gcid" value="$category['id']">selected</eq> >
								{$category['title']}
							</option>
						</volist>
					</select>
				</div>
				<div class="field">
					您使用过的药物：
				</div>
				<div class="box">
					<div id="medicinebox">
					</div>
					<div class="c"></div>
					<div class="control">
						<span class="add">还没有医生记录？<a class="add-btn" href="#">+ 我要添加</a></span>
						
					</div>
				</div>
                            <div class="con">
            <table width="100%" border="0" cellspacing="0" cellpadding="0">
                <tr>
                    <td>城市：<input type="hidden" name="ts_areaval" id="ts_areaval" value="{$info.ts_areaval}"/>
                        <input type="text" class="TextH20" style="width:100px;" onfocus="this.className = 'Text2'" onblur="this.className = 'TextH20'" value="{$info.area}" name="areaval" disabled  id="areaval" /> 
                        <input type="button" class="btn_b" value="选择地区" selectArea="true" level="2" areatype="areaval" ></td>
                    <td>医院：<input type="text" id="hospital" name="hospital" value="" placeholder="请输入医院名称"></td>
                </tr>
                <tr>
                    <td>科室：<input type="text" id="name" name="name" value="" placeholder="请输入医院科室"></td>
                    <td>医生：<input type="text" id="name" name="name" value="" placeholder="请输入医院医生"></td>
                </tr>
                <tr>
                    <td>评分：<input type="text" id="name" name="name" value="" placeholder="请输入医院科室"></td>
                    <td>医生：<input type="text" id="name" name="name" value="" placeholder="请输入医院医生"></td>
                </tr>
                <tr>
                    <td colspan="2">评价：</td>
                </tr>
               <tr>
                   <td colspan="2"><textarea name="con" style="width:500px; height: 120px;"></textarea> </td> 
                </tr>
            </table>
        </div>
				<center><input type="submit" class="sub-btn" value="提交"  /></center>
			</form>
		</div>
		
		<input id="page" type="hidden" value="{$_GET['p']}">
	</div>
	<div class="c"></div>
</div>
<script type="text/javascript">
    $(function(){
        JqueryUi.autoComplete({id:"hospital",url:function(){
            var area=$('#ts_areaval').val();    
            return }});
    })
</script>
<!-- 内容 end -->
<include file="__THEME__/footer" />
{:W('Network')}
